Primary Malignant Pericardial Mesothelioma Presenting as Acute Pericarditis
Journal of Cardiovascular Ultrasound
; : 57-59, 2012.
Article
in En
| WPRIM
| ID: wpr-144934
Responsible library:
WPRO
ABSTRACT
We report on a 21-year-old man with fever, dyspnea, and pleuritic chest pain. An electrocardiography showed ST elevation in multiple lead and thoracic echocardiography revealed moderate pericardial effusion. He was initially diagnosed with acute pericarditis, and treated with nonsteroidal anti-inflammatory drugs and colchicines with clinical and laboratory improvement. After 1 month of medication, his symptoms recurred. An echocardiography showed constrictive physiology and the patient was treated with steroid on the top of current medication. The patient had been well for 7 months until dyspnea and edema developed, when an echocardiography showed marked increased pericardial thickness and constriction. Pericardial biopsy was performed and primary malignant pericardial mesothelioma was diagnosed. Malignancy should be considered in the differential diagnosis of recurrent pericarditis.
Key words
Full text:
1
Database:
WPRIM
Main subject:
Pericardial Effusion
/
Pericarditis
/
Pericarditis, Constrictive
/
Biopsy
/
Chest Pain
/
Echocardiography
/
Constriction
/
Diagnosis, Differential
/
Dyspnea
/
Edema
Type of study:
Diagnostic_studies
Limits:
Humans
Language:
En
Journal:
Journal of Cardiovascular Ultrasound
Year:
2012
Document type:
Article